HTA - Sahlgrenska Universitetssjukhuset
HTA - Sahlgrenska Universitetssjukhuset
HTA - Sahlgrenska Universitetssjukhuset
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Appendix 1 - 2 12-12-10/OS<br />
Comparison between total shoulder arthroplasty and hemiarthroplasty in patients with primary osteoarthritis with regard to the outcome variable Pain<br />
Author, year Country Study design Number<br />
of<br />
patients/<br />
shoulders<br />
(n)<br />
Gartsman, 2000<br />
Lo, 2005<br />
USA<br />
United<br />
Kingdom/<br />
Canada<br />
Randomised<br />
controlled trial<br />
Randomised<br />
controlled trial<br />
TSA: 27<br />
HA: 24<br />
TSA: 20<br />
HA: 21<br />
With<br />
drawals<br />
-<br />
dropouts<br />
4<br />
1<br />
Result<br />
Total shoulder<br />
arthroplasty (TSA)<br />
ASES score-pain ii<br />
9.6<br />
↓<br />
41.1<br />
p < 0.01 between groups<br />
UCLAS score-pain iii<br />
1.5<br />
↓<br />
8.2<br />
p < 0.01 between groups<br />
Mc Gill pain questionnaire iv :<br />
12.5 (sd 9.4)<br />
↓<br />
0.9 (sd 1.4)<br />
No statistical difference<br />
between groups<br />
Mc Gill pain visual analogue<br />
scale v. :<br />
65(sd 20.9)<br />
↓<br />
6.1 (sd 13.5)<br />
No statistical difference<br />
between groups<br />
1(3)<br />
Hemiarthroplasty ( HA)<br />
ASES score-pain<br />
9.4<br />
↓<br />
30.2<br />
UCLAS score-pain<br />
1.5<br />
↓<br />
6.0<br />
Mc Gill pain questionnaire:<br />
16 (sd 10.6)<br />
↓<br />
2.7 (sd 6.8)<br />
Mc Gill pain visual analogue<br />
scale:<br />
65.2 (sd 20.9)<br />
↓<br />
13.9 (sd 27.4)<br />
Follow up:<br />
mean 34 months<br />
Comments Quality<br />
(may vary<br />
according to<br />
outcome)<br />
Only patients with intact rotator cuff<br />
were included<br />
For both TSA and HA the differences<br />
in ASES score and in UCLAS score<br />
between preoperative and follow-up<br />
status were statistically significant<br />
(p < 0.001 or p < 0.01)<br />
Follow up:<br />
2 years<br />
Only patients with intact rotator cuff<br />
included<br />
For both TSA and HA the differences<br />
in Mc Gill pain questionnaire and<br />
visual analogue scale between<br />
preoperative and follow-up status were<br />
statistically significant (p < 0.001)<br />
Moderate<br />
Moderate